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WEST BEVERLY PODIATRY GROUP NPI 1003023458


NPI Information

NPI: 1003023458
Provider Name: WEST BEVERLY PODIATRY GROUP
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 05D0861114

Address:
3545 GRIFFITH PARK BLVD
LOS ANGELES, CA
ZIP 90027
Phone: (323) 664-4331
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WEST BEVERLY PODIATRY GROUP is a podiatrist in Los Angeles, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. WEST BEVERLY PODIATRY GROUP NPI is 1003023458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3545 GRIFFITH PARK BLVD
LOS ANGELES, CA
ZIP 90027-404
Phone: (323) 664-4331
Fax: (323) 664-4331

The provider's authorized official is Ross A Berliner .
The authorized official title is Podiatrist and has the following contact phone number (323) 721-6026.

The CLIA number assigned to this NPI record is 05D0861114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristE3948CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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